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"The lack of MRI and CAT scan machines in Canada is a direct result of the single-payer system," said Sally Pipes, president and chief executive officer of the Pacific Research Institute, a San Francisco health care think tank.

"There are very few Canadian drug companies, and American drug companies often don't sell their drugs there," she said. "Because of the enormous cost of developing a drug, businesses must first recuperate their costs before entering a market that dictates prices, which are lower than other places."